Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.21 / $3,577.30 / $20,680.40	Facility		$1,366.21	$3,577.30	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.35 / $1,366.21 / $3,245.19	Professional		$1,018.35	$1,366.21	$3,245.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,367.95 / $8,854.69 / $16,947.71	Facility		$1,367.95	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.57 / $2,905.00 / $10,131.45	Professional		$1,651.57	$2,905.00	$10,131.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.86 / $2,416.83 / $3,527.99	Professional		$1,383.86	$2,416.83	$3,527.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,454.46 / $2,507.05 / $5,198.37	Facility		$1,454.46	$2,507.05	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,461.14 / $2,374.66 / $3,526.87	Professional		$1,461.14	$2,374.66	$3,526.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $446.29 / $2,473.30	Professional		$122.71	$446.29	$2,473.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.95 / $2,253.21 / $2,422.71	Facility		$1,751.95	$2,253.21	$2,422.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.95 / $1,575.08 / $1,604.53	Facility		$1,367.95	$1,575.08	$1,604.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.30 / $2,676.44 / $3,290.86	Professional		$1,798.30	$2,676.44	$3,290.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,606.37 / $2,308.13 / $3,108.99	Professional		$1,606.37	$2,308.13	$3,108.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.67 / $2,290.05 / $3,379.25	Professional		$1,460.67	$2,290.05	$3,379.25